14-73537864-T-G

Variant summary

Our verdict is Likely benign. Variant got -2 ACMG points: 2P and 4B. PP3_ModerateBS2

The NM_001037161.2(ACOT1):ā€‹c.443T>Gā€‹(p.Leu148Arg) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.0000108 in 1,199,580 control chromosomes in the GnomAD database, including 2 homozygotes. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (ā˜…).

Frequency

Genomes: š‘“ 0.0000086 ( 0 hom., cov: 19)
Exomes š‘“: 0.000011 ( 2 hom. )

Consequence

ACOT1
NM_001037161.2 missense

Scores

5
10
3

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 7.46
Variant links:
Genes affected
ACOT1 (HGNC:33128): (acyl-CoA thioesterase 1) Enables acyl-CoA hydrolase activity. Involved in acyl-CoA metabolic process; long-chain fatty acid metabolic process; and very long-chain fatty acid metabolic process. Located in cytosol. [provided by Alliance of Genome Resources, Apr 2022]
HEATR4 (HGNC:16761): (HEAT repeat containing 4) Predicted to enable oxidoreductase activity. [provided by Alliance of Genome Resources, Apr 2022]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -2 ACMG points.

PP3
MetaRNN computational evidence supports a deleterious effect, 0.908
BS2
High Homozygotes in GnomAdExome4 at 2 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
ACOT1NM_001037161.2 linkc.443T>G p.Leu148Arg missense_variant Exon 1 of 3 ENST00000311148.9 NP_001032238.1 Q86TX2E9KL42
HEATR4NM_001220484.1 linkc.-151-7620A>C intron_variant Intron 1 of 17 ENST00000553558.6 NP_001207413.1 Q86WZ0

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
ACOT1ENST00000311148.9 linkc.443T>G p.Leu148Arg missense_variant Exon 1 of 3 1 NM_001037161.2 ENSP00000311224.4 Q86TX2
HEATR4ENST00000553558.6 linkc.-151-7620A>C intron_variant Intron 1 of 17 2 NM_001220484.1 ENSP00000450444.2 Q86WZ0

Frequencies

GnomAD3 genomes
AF:
0.00000860
AC:
1
AN:
116280
Hom.:
0
Cov.:
19
show subpopulations
Gnomad AFR
AF:
0.0000279
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00
GnomAD4 exome
AF:
0.0000111
AC:
12
AN:
1083300
Hom.:
2
Cov.:
29
AF XY:
0.0000168
AC XY:
9
AN XY:
536670
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.0000421
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000159
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000923
Gnomad4 OTH exome
AF:
0.0000451
GnomAD4 genome
AF:
0.00000860
AC:
1
AN:
116280
Hom.:
0
Cov.:
19
AF XY:
0.00
AC XY:
0
AN XY:
55872
show subpopulations
Gnomad4 AFR
AF:
0.0000279
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000843
Hom.:
0
ExAC
AF:
0.0000239
AC:
2

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not specified Uncertain:1
May 25, 2022
Ambry Genetics
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: clinical testing

The c.443T>G (p.L148R) alteration is located in exon 1 (coding exon 1) of the ACOT1 gene. This alteration results from a T to G substitution at nucleotide position 443, causing the leucine (L) at amino acid position 148 to be replaced by an arginine (R). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.58
BayesDel_addAF
Uncertain
0.13
D
BayesDel_noAF
Pathogenic
0.20
CADD
Uncertain
25
DANN
Uncertain
1.0
DEOGEN2
Benign
0.30
T;.
Eigen
Uncertain
0.43
Eigen_PC
Uncertain
0.31
FATHMM_MKL
Uncertain
0.88
D
LIST_S2
Uncertain
0.96
D;D
M_CAP
Uncertain
0.10
D
MetaRNN
Pathogenic
0.91
D;D
MetaSVM
Benign
-0.29
T
MutationAssessor
Pathogenic
3.3
M;.
PROVEAN
Uncertain
-4.4
D;D
REVEL
Uncertain
0.58
Sift
Uncertain
0.0010
D;D
Sift4G
Pathogenic
0.0
D;D
Polyphen
0.92
P;.
Vest4
0.96
MutPred
0.70
Gain of catalytic residue at P151 (P = 0);Gain of catalytic residue at P151 (P = 0);
MVP
0.78
ClinPred
0.96
D
GERP RS
3.9
Varity_R
0.80
gMVP
0.98

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.020
Details are displayed if max score is > 0.2

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs756298246; hg19: chr14-74004568; API